NCT05229679

Brief Summary

The aim of the trial is to determine whether organized screening with primary HPV analysis provide higher cancer protection in the age group 23-29 years compared to primary cytology.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180,000

participants targeted

Target at P75+ for not_applicable

Timeline
154mo left

Started Nov 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress30%
Nov 2020Dec 2038

Study Start

First participant enrolled

November 16, 2020

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

November 30, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 8, 2022

Completed
16.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2038

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2038

Last Updated

March 19, 2025

Status Verified

March 1, 2025

Enrollment Period

18.1 years

First QC Date

November 30, 2021

Last Update Submit

March 18, 2025

Conditions

Keywords

Organized screeningHPV vaccinationHuman papilloma virusPrevention

Outcome Measures

Primary Outcomes (10)

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 1.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 2.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 3.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 4.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 5.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 6.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 7.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 8.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 9.

  • Incidence of cervical cancer

    Cervical cancer incidence in the intervention group compared to a historical control group.

    Measured once during 1 year, year 10.

Secondary Outcomes (10)

  • Cost-effectiveness of the new screening method

    Measured once during 1 year, year 1.

  • Cost-effectiveness of the new screening method

    Measured once during 1 year, year 2.

  • Cost-effectiveness of the new screening method

    Measured once during 1 year, year 3.

  • Cost-effectiveness of the new screening method

    Measured once during 1 year, year 4.

  • Cost-effectiveness of the new screening method

    Measured once during 1 year, year 5.

  • +5 more secondary outcomes

Study Arms (1)

HPV-based screening

EXPERIMENTAL

Women 23-29 invited to cervical screening will have their samples analyzed for HPV.

Diagnostic Test: HPV testing

Interventions

HPV testingDIAGNOSTIC_TEST

All women age 23-29 resident in the pilot counties will be invited to HPV screening as of the study start date. The same invitation as currently used for women aged 30 and upwards will be used. This information clearly states that it is possible to opt out of the program and that data from the screening program will be collected to regional and national quality registers who will systematically evaluate the quality of the care. At the screening station, the samples are collected identically regardless of primary screening test used - there is no change in the procedures used neither for the woman or for the midwives taking the sample. HPV testing will be performed using the same purchased, CE-marked and accredited HPV screening platforms as currently used for women aged 30 and upwards. The cytology is according to the liquid-based cytology method.

HPV-based screening

Eligibility Criteria

Age23 Years - 29 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsIndividuals with a cervix and with a personal ID number indicating that they are a female, are eligible.
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Women ages 23-29 invited to screening.

You may not qualify if:

  • Women who do not show up for screening or do not consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Region of Skåne

Lund, Skåne County, 221 00, Sweden

ACTIVE NOT RECRUITING

Region Stockholm

Stockholm, 102 39, Sweden

RECRUITING

MeSH Terms

Conditions

Uterine Cervical DysplasiaUterine Cervical Neoplasms

Condition Hierarchy (Ancestors)

Precancerous ConditionsNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by Site

Study Officials

  • Joakim Dillner, MD, PhD

    Karolinska University Hospital/Karolinska Institutet

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Joakim Dillner, MD, PhD

CONTACT

Miriam Elfström, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Infectious Disease Epidemiology; Director of R&D

Study Record Dates

First Submitted

November 30, 2021

First Posted

February 8, 2022

Study Start

November 16, 2020

Primary Completion (Estimated)

December 31, 2038

Study Completion (Estimated)

December 31, 2038

Last Updated

March 19, 2025

Record last verified: 2025-03

Locations